Information Collection

National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report

IC 197438 under ICR 201403-0920-015 · OMB 0920-0890.

Documents and Forms

Document Name Document Type
National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report Form
NAPIHA Eval Att 3c NAPIHAAD.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Asian & Pacific Islander HIV/AIDS Awareness Day Evaluation Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	NAPIHA Eval	Att 3c NAPIHAAD.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.